Before you
take to heart any research
about the health effects
of beverages such as milk,
fruit juice or soft drinks,
find out who paid for the
study.
If a beverage manufacturer
or industry group funded the
research, the finding may
be biased, researchers report.
"When a food company sponsors
a study, it is much more
likely to be positive" about
the health effects of the
product, said Dr. David
Ludwig. He's the study's
senior author and director
of the Optimal Weight for
Life program at Children's
Hospital Boston, the pediatric
teaching hospital for Harvard
Medical School.
Ludwig and his colleagues
analyzed 206 articles from
medical journals that evaluated
the health benefits or effects
of soft drinks, juice and
milk. The studies were published
from 1999 to 2003.
Of the 206 studies, 111
supplied information on
funding. To prevent bias
in Ludwig's review, one
researcher selected the
articles for inclusion in
the study. Another two researchers
who were not told the funding
sources classified each
study as favorable, not
favorable or neutral toward
the beverage studied. A
fourth researcher who didn't
know the conclusions of
the study determined the
funding source and classified
the studies, based on whether
they would be beneficial,
negative or neutral to the
funder's bottom line.
In all, 22 percent of the
studies were funded totally
by industry, while 32 percent
had both industry and independent
funding.
"We found when a food company
pays for a study, the results
are about eight times more
likely to be favorable to
the company's financial
interest than when the studies
are funded independently,"
Ludwig said. "It is a strong
association. It raises concern
for bias."
The same association has
been found in studies of
medications funded by drug
companies, Ludwig said.
But, he added, bias in studies
of beverages could have
a greater impact because
nearly everyone drinks milk,
juices or soft drinks.
"This is the first time
this issue has been investigated
systematically in the area
of nutrition," Ludwig said.
"More research needs to
be done. No one study can
prove an issue. This [conclusion]
argues for the need for
more independent funding"
of research.
The results of Ludwig's
study are published in the
Jan. 9 online issue of the
journal PloS Medicine.
Susan K. Neely, president
and chief executive officer
of the American Beverage
Association, took exception
to the study. "This is yet
another attack on industry
by activists who demonstrate
their own biases in their
review by looking only at
the funding source and not
judging the research on
its merits. The science
is what matters -- nothing
else," she said in a prepared
statement.
In an accompanying perspective
article in the journal,
Martijn Katan, professor
of nutrition at Vrije Universiteit
Amsterdam in the Netherlands,
noted that a "blanket condemnation
of industry-supported research"
isn't the answer. He said
collaboration with industry
allowed him "to discover
things that I could not
have found otherwise." For
instance: "We discovered
the effects of trans fatty
acids on heart-disease risk
thanks to the expertise
of Unilever, and the cholesterol-raising
factor in unfiltered coffee
thanks to Nestle."
In the Netherlands, Katan
wrote, "The Royal Netherlands
Academy of Sciences has
put forth an innovative
proposal on how to supervise
relations between researchers
and their sponsors."
Until more guidance is
available, another expert,
Connie Diekman, director
of university nutrition
at Washington University
in St. Louis, has a suggestion.
"The [Ludwig] study reminds
consumers and the media
that all research studies
should be viewed as one
part of the puzzle about
food and health and not
conclusive answers to questions."
Any conclusions must come
from several studies, not
one, she added.